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Home My WebLink About92-2029 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit -"1'0 ~.,., 2029 D- Type of Permit , -'--L Date I -- )~ / '/ -".- ',===;::;-'::-- B~ ~~~CT_~~L "Pt1JM8JN.G Property Owners Name:\ ~~ Job Address: b/ S ~ ,~ M'I::CHl\NICAL --~ -~ 4. Legal Description: Sub,Div. Lot Blk. Zoning CI: ~ Description of WorIL ~~ ~ ff -r Energy Code Readout: Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: /~~A- Fee c2~ ~~ SIG~AT~REC -" ~~ COMPANY ADDRESS TELEPHONE /I All work shal! be performed in accordance with the above and all City Codes and Ordinances. ./ OCCUPATIONAL LICENSE ~ ~ ~ .':LECTRIC~ Tp.Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final Driveway ~ ~~k..L4-q~1$rl- Reinspections: When extra inspection trips are necessary due to anyone of the f wing reasons, a charge of ten ($ 10.(0) dollars shall be made for each trip. (a) Wrong Address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when inspection called for (d) Work not ready for inspection when called. The payment of reinspection fees shall be made before any further permits will be issued to the person owning same. Bun.u II~ 8 ... PLU~ -- M~ICAL -.........". SLB Tub Set Water Sewer Final Ftr. Pre SLB Lintel FRM. Insul.CL WL Breakers Ducts Insl. Compressor Final APPLICATION FOR PEm1IT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT ADDRESS OWNER ;1(~ hv!rup$_ h /(~ ~~ PHONE JOB LOCATION ~~~ ~/ LOT SIZE_____X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.~~ tL/) ~ ~ ~. 15c Hntf. ____Addi~io ____Alteration ____Repair ____Install WORK PROPOSED:____New Construction ____Sign/Temp. ____Sign _Move ____Demolish PROPOSED USE: ____Single Family ____M/F ____# of Units _____M / H ____Commercial ____Indust. ____Swim. Pool Other ____Restaurant & Health Department Approval BUILDING SIZE: x Square Feet, Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED ____BUILDING $ Valuation of Total Construction ____ELECTRICAL AMP Service Florida Power Corp. _____\-l.R.E.C. ____MECHANICAL $ Valuation of Mechanical Installation ____PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** Signature CONTRACTOR SECTION Company State Cert. or Regist. # City License Registration # ****************************************** BUILDER Qr-ompany State Cert. or Regist. # City License Registration # ************************************** . "3 S?'" Company State Cert. or Regist. # City License Registration # ****************************************** PLUMBER Signature Company State Cert. or Regist. # City License Registration # ****************************************** MECHANICAL Signature Company State Cert. or Regist. # City License Registration # OTHER Signature APPLICATION APPROVED BY **!********~*************************** 7!~./bJ LA4h~r- PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS Th~ und~rsigned understands ~~at this perait aay be subject to "deed restricti~ns" which may b~ more restrictive than City regulations. The undersigned assules resp~nsibility for cDlpliante with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they liry b~ req,u.ir~d to ,be Hcensed iT) ~ccordance with state and local regulations. If the contracto~ is not licensed as required by )aw,.both the ~ltner and'contrattdr lay be cited for a lisdeleanor violation under state lalt. If the owner or inte.nded ,contrac!r':'re uhc'er,tain as to what licensing requirelents lay apply for the intended work, they are advised to contact the City of 2ephyrhills Building Department, (813) 788-6611. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "Contract~rSettions' of t~ls, appli~ation for which they ,will.be responsible. If you, as the owner sign as the contractor, you are indicating that you, rather than the contractor, are responsible f~r the work. If the contractor wishes you to sign as contractor that may be an indication that he is not properly licensed and is not entitled to permitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - Homeowner's Protection Guide' prepared by the Florida Departlent of,Agriculture and Consu.~r Affairs. If the applicant is someone other than the "owner', I certify that I have obtained a copy of the above described doculent and promise in good faith to deliver it to the 'owner. prior to cOllencelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning, and land developlent. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation has cO.lenced prior to issuance of a perlit and that all work will be performed to meet standards of all laws regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other governmental agencies lay apply to the intended work, and that it is IIY responsibility to identify what actions I lust take to be in compliance. Such agencies include bllt ~ie Ii{lt limited to: I Departlent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Envin.nmentally Sensi ti ve I:lnd!:., Water/Wastewater Treat.ent I Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways I Departlent of Health ~ Rehabilitative Services. Environllental Health Unit - Wells, Wastewater TreatmEnt. Septic Tanks I US Environ.ental Protection AQency - Asbestos abatement I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.', it is understood tbat a d!'ainage plan addressing a .colpensating volule" will be sub.itted which is prepared by a professional engineer reqislEied in the State of Florida prior to per.it issuance. A perlit issued shall be construed to be a license to proceed with the work and not as authority to vioi~te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Offieidl fro~ thereafter requiring a correction of errors in plans, cc.nstructic,n, clr virdahcrfls of any'code.Hery periit i;s5\ll'd :h,lll ben'lIiE> invalid unless the work authorized by such perlit is COlmenced within six months of issuance, or if wOlk autll~1 lzed bj the perMit is suspended or abandoned frlr a period of six lonths after the tille the work is cOllmerriOed. . One 90 daYi;~tEIISIOtl of tillie, Iliay be allowed for the permit with fee charge of ~15.00. The extension shall be requested in writing to the Building Official. An approved inspection lust be logged during each six lonth period, or the prc.ject will be (clnsidered dbdiJdc'iied. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERfV. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE__________________________________ SIGNATURE_~~ --~ OWNER OR AGENT CONTRACTOR NOTARY AS TO OWNER OR AGENT ---------------------------~- DATE_____j_~__J(~~~q__________________ 'j NOTARY AS TO A / ./" /1, CONTRACTOR .,.J";.ct.i?,,--,, 7). _i~ ,-U +--,' , ----------------~0to;e-Gffl~;lda-- MY COMMISSION ExpfR~~~,!:.ub ~~ju.'l-1~.!!~3 YAy (01'1\",15 ,llIt" f'. IMUlonc. Inc. eonded th,u 1'ro", 010 DATE --------------------------------------- MY COMMISSION EXPIRES______________________